A 2011 review (updated in 2016) found 4 clinical trials with moderate quality evidence to suggest that xylitol reduces the risk of middle ear infection by up to 30%.

Another way xylitol may indirectly support healthy bones is the way it influences the way your gut metabolizes a phytoestrogen (plant estrogen) called daidzein. Daidzein, found richly in soybeans and other legumes, converts to equol in the gut and is important for preventing bone loss especially for women before and during menopause.Janakiram, C., Kumar, C. D., & Joseph, J. (2017). Xylitol in preventing dental caries: A systematic review and meta-analyses. Journal of natural science, biology, and medicine, 8(1), 16. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5320817/ Spry Xylitol Chewing Gum (manufactured by Xlear) is only sweetened by xylitol, and contains 0.9 grams of xylitol. Spry xylitol gum tastes great and comes in flavors like spearmint, peppermint, fresh fruit, cinnamon, and green tea.

Although xylitol is safe and well-tolerated in humans, a dog’s body confuses xylitol for sugar. This can lead to higher insulin levels and lower blood sugar, which can be fatal. Trident Sugar Free Gum with Xylitol contains several sugar alcohols including xylitol, sorbitol, and mannitol. Trident also uses artificial sweeteners like sucralose and aspartame, both of which may come with health risks. Trident does come in many different flavors, and they sell very well, but Trident’s use of xylitol along with other less healthy sweeteners is questionable. Mannitol, for instance, may spike blood sugar very similarly to table sugar. Talattof, Z., Azad, A., Zahed, M., & Shahradnia, N. (2018). Antifungal Activity of Xylitol against Candida albicans: An in vitro Study. The journal of contemporary dental practice, 19(2), 125-129. Abstract: https://pubmed.ncbi.nlm.nih.gov/29422459/ Gut health is important to your everyday health. A huge portion of your immune system is present in your gut — a healthy gut usually signals a healthy immune system.They also offer their gum in Blister Trays—which are great for keeping your chewing gum fresh and crispy. But if you tend to chew a lot of gums, I recommend the bag version. Ingredients Oxidative stress can speed the impact of aging. When free radicals are not neutralized by antioxidants, oxidants chemically impact your body — a process called oxidative stress. Oxidative stress can damage cells, proteins, and DNA, which contributes to aging. Lotte Xylitol Chewing Gum is reported to be the sweetest of any of the gums listed here, though its taste is not as long-lasting as the Spry gum. Lotte is manufactured in South Korea, in 90-piece bottles. It contains mostly xylitol as a sweetener. The most popular flavor of Lotte is applemint.